Please explain how to interpret this result of 6MWT and what is the recommendation would you make? Severe COPD patient with history of 80 pack/year history of smoking. He can walk 300 yards with two rest in the best of two six-minutes walk test but desaturated to 86% on room air and felt very severely breathless (dyspnea score=7) at the end of the walk.
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- What is not a non-pulmonary assessment findings of patients with cystic fibrosis? pulmonary hypertension depression O pancreatic insufficiency anorexiaA nurse is caring for a preschooler on the pediatric unit. Exhibit 1 Provider Prescriptions Day 1, 2350: Admit for observation. Obtain vital signs every 4 hr and PRN. Administer oxygen 2 L/min via nasal cannula to maintain oxygen saturation above 95%. Initiate saline lock. Administer ceftriaxone 250 mg IV every 12 hr. Administer acetaminophen oral suspension 240 mg every 4 hr PRN for temperature greater than 38° C (100.4° F). Place on regular diet and encourage oral fluids of preschooler's choice. Monitor intake and output every 8 hr. Exhibit 2 Assessment Day 2, 0030: Preschooler lying on bed, awake and alert. Breath sounds with wheezing auscultated on expiration on the right side. Nonproductive cough with no retractions or nasal flaring observed. Abdomen soft and nondistended, bowel sounds active in all four quadrants. Preschooler reports headache and pain in abdomen. Rates pain in abdomen as a 2 on a 0 to 10 FACES pain scale. Exhibit 3 Vital Signs Day 2, 0030: Temperature 38.1°…Case #4Following an automobile accident, a 19 year old male is admitted to the hospital. He has sustained multiple burns, severe pulmonary contusions, and has aspirated. He is admitted to the ICU, intubated and placed on a ventilator with initial settings ofA/C 500 x 16 1.0 +10 PEEP. A PAC is inserted and ABG’sare drawn after 30 minutes of mechanical ventilation. CXR reveals correct placement of the ETT andPAC the presence of bilateral infiltrates.pH = 7.53Hgb = 14 gmsPaCO2 = 35 mmHgPvO2 = 28 mmHgPaO2 = 33 mmHgSvO2 = 58 mmHgHCO3 = 26 mEq/LSaO2 = 78%PAC measurements reveal the following values:CVP = 12 mmHgBP = 140/80 mmHgPAP = 50/25 mmHgHR = 110 beats/minPCWP = 6 mmHgCO = 6.0 L/minPart 3: What is the arterial- venous oxygen content (Ca-vO2) difference for this patient?Part 4: Calculate the patient’s extraction ratio.
- The drug reference indicates 15mg/kg/day q8 h. of kanamycin is a safe dose range. Order: Kanamycin 200 mg IV q8h. The client weighs 35 kg. How much will the nurse administer?You assigned to 4 clients. which client should you assess first? 1 The client diagnosed respiratory failure who is on 4L oxygen by nasal cannula and reported shortness of breath 2 the client diagnosed with respiratory failure who is on continuous positive airway pressure with settings at 5/10 at 50% FiO2. reported shortness of breath. 3 The client diagnosed with respiratory failure who is on Ventrurimaskwith 50% FiO2. reports shortness of breath. 4 The client diagnosed with respiratory failure who is on synchronized intermittent mandatory ventilation with settings of 5/10 at 50% FiO2.Reports shortness of breath.Returning from the PACU Mrs Roman has Peripheral IV therapy with a PCA (patient control analgesia) for analgesia, a surgical incision on the Right side of the upper abdomen and 3 laparoscopic wound sites, a Bello vac drain insitu with 100ml bright blood drainage. An IDC, O2 via a Hudson mask at 6L/m. TED stockings were applied pre-operatively and remain insitu. You are to explain the post-operative care you will provide on the return to ward from PACU under the following domains (easy and simple) vital signs including post-op observations 02 therapy pain management (has a PCA) IVT monitoring and assessment fluid status wound care positioning VTE (venus thrombus e) prophylaxis
- It is now day 1 following surgery for Mrs Romano, following handover at 0700, you have been allocated to care for her, handover information is contained in Appendix 5: Handover sheet. At the commencement of your care, you undertake a systems assessment. These are your assessment findings: CNS: conscious and responding to verbal instructions. . Temp 37.6C CVS: Peripherally warm and dry. No peripheral oedema. HR = 76 regular. BP = 145/68. Resp: RR = 18 resps/min. Sa02 = 93% NP 3LPM Renal: IDC removed 0600 HNPU GIT: Bowel sounds present. No abdo swelling. Endocrine: BGL = 4.2mmol/L Musculoskeletal: NAD. Has not been out of bed a yet Post op. Complaining of leg pain, TED stocking removed, slightly reddened areas noted on both heels (signs of DVT, compartment syndrome). Left calf noted to be swollen, red and warm to touch. Integumentary: Dressing to abdominal wound, intact with no further ooze since marked the evening before. Laparoscopic incision dressings clean and dry. Bellovac…Which of the following patients has an RSBI that suggests they are ready to begin weaning from ventilatory support? What supports your decision? Patient 1: Spontaneous VT of 0.4 L; f is 10 breaths/min Patient 2: Spontaneous VT of 0.25 L; f is 30 breaths/min What is the appropriate parameter for RSBI that indicates readiness to wean?4ab (if counts as 1Q)
- CC 12Practice Spirogram Questions label TV, IRV, ERV, EC, IC, VC, and TLC on the Spirogram tracing below. Do Bero << V (D) سالیہ Time(Sec)Hello there, pls kindly help me rewrite this in good words and help me check my work. This is my first time doing this kind of assignment. Thank you. Explanation: The Rockport walking test evaluates the capacity of your lungs in relation to the volume of exercise you can tolerate. It is designed for both women and men between the ages of 20 and 69. Before performing this or any fitness test, it is always best to check with your healthcare provider. The test requires you to push your physical limits and may not be appropriate for everyone. People with certain health conditions should only participate in the test the supervision of a medical or fitness professional. My own answer. calculating my VO2max using the Rockport walking test formula for a female. My weight is 143 pounds. And my age is 22. Walking time is 30 minutes and heart rate is 86 Female : VO2max = 132.853 - (0.0769 × YourWeightInPounds) - (0.3877 × YourAge) + (6.315) - (3.2649 × YourWalkingTime) - (0.1565 ×…